CONTENT: This review provides information regarding
various approaches to the diagnosis of gestational dia-
betes and the recommendations of a number of profes-
sional organizations. The implications of gestational
diabetes for both the mother and the offspring are de-
scribed. Approaches to self-monitoring of blood glu-
cose concentrations and treatment with diet, oral
medications, and insulin injections are covered. Man-
agement of glucose metabolism during labor and the
postpartum period are discussed, and an approach to
determining the timing of delivery and the mode of
delivery is outlined.